Ensuring buy-intop-down approach, existing approaches, awareness from other departmentsContinuationConsistency into the future (enforcement), training for new nursesProgram EvaluationEvaluating IMPACTSIndicator:Number of departments that adopt program/ Total number of applicable departmentsIndicator Measured Through Time Allocation Interviews and SurveysOrganizational Culture variability of Health Authority and Emergency DepartmentIs report time = social time?Department's capacity for tolerating change and desire to change (buy-in)Staff comfort level with previous reporting systems (push back)

Are adequate numbers of staff being recruited to both develop and deliver the program?Indicator:

Number of RN's Involved in the Development and/or Delivery of the Program / Total Estimated Number of RN's Required to Effectively Run the ProgramIndicator Measured through Observation & Record Review(Estimated Required Numbers as Determined by Fraser Health & Program Management)Program EvaluationProgram EvaluationEvaluating ACTIVITIESEvaluating OUTPUTSKey Aspect to Evaluate: Was an effective standardized reporting style developed, that addresses all or most of the areas of concern identified by RN focus groups?Why it MattersErrors in communication result in adverse events

Patient Handover: process of handing over a patient’s information and responsibility for a patient from one health care provider to another The ProblemIndicator:

Average Number of RN's Who Feel the Standardized Reporting Style Developed Addresses the Important Communication Concerns & Feel the Standardization is Helpful in Patient HandoversIndicators Measured through Interviews & SurveysKey Aspect to Evaluate:Did a sufficient percentage of RN's receive training on the new standardized reporting style, to warrant a positive change in handover errors?Indicator:Number of RN's Who Received Training / Total Number of ER RN's in Fraser HealthIndicators Measured through Observation & Record Review, by Fraser Health & Program ManagementKey Aspect to Evaluate: Adoption of program throughout all departments in Fraser Health (not just ERs)

Program EvaluationEvaluating OUTCOMESKey Aspect to Evaluate:How effectively are nurses communicating after program implementation?Indicator:Nurse Performance in Handover Communication After Program/ Nurse Performance in Handover Communication Before ProgramIndicators Measured Through Self Evaluation Tool and Program Management ObservationIntervention Framework #1: